The Pediatric Forum |

On Misunderstanding

Sara Jumping Eagle, MD; Catherine Stevens-Simon, MD
Arch Pediatr Adolesc Med. 2005;159(4):400-401. doi:10.1001/archpedi.159.4.400-a.
Text Size: A A A
Published online


We enjoyed the article by Blake et al1 “Adolescent and Young Adult Women’s Misunderstanding of the Term Pap Smear,” which appeared in the October 2004 issue of the ARCHIVES. It is always a pleasure to have clinical intuition validated by scientific fact. Indeed, the misunderstanding the authors document is so profound in our adolescent medicine practice that we developed a patient information sheet (available on request) to address the problem. We were, however, disturbed by the statement that 14- to 17-year-old patients whose parents did not accompany them to the clinic were excluded from this survey study in order to obtain institutional review board approval. Numerous publications addressing the definition of minor subjects and their right to consent to participation in low-risk survey research of this type25 suggest that in so doing the authors needlessly biased the results of their otherwise informative and clinically useful study. In the hopes of dispelling the misunderstandings implicit in this exclusion criterion and enhancing the validity of future research bearing on critically important aspects of adolescent health and behavior, we would also like to draw the attention of the readership to several publications that may be useful in addressing constraints imposed by institutional review boards.25 We find our pediatric colleagues are often unaware of these consensus statements.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics